Dr. Cordell Lake is a Farmington, Missouri based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Cordell Lake is 2014016814 for Dentistry in Missouri. His current practice location is 12 E Harrison St, Farmington. Patients can reach him at 573-756-4344.
Dr. Cordell Lake is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Cordell Lake speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Cordell Lake
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
12 E Harrison St, Farmington, Missouri, 63640-1859
Phone:
573-756-4344
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1255744405
NPI Enumeration Date:
05 Jun, 2014
NPI Last Update On:
04 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Cordell Lake are as mentioned below.
License Number
Specialization
State
Status
2014016814
Dentistry
Missouri
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
12 E Harrison St, Farmington, Missouri
Zip:
63640-1859
Patients can reach Dr. Cordell Lake at 12 E Harrison St, Farmington, Missouri or can call to book an appointment on 573-756-4344. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.